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3 часа назад

Inpatient Coding Auditor (Healthcare)

38 - 52$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Inpatient Coding Auditor (Healthcare) (ICD-CM/ICD-PCS and DRG): Auditing inpatient coders and offshore coding auditors to ensure coding, DRG, and query compliance accuracy with an accent on clinical documentation, reimbursement guidelines, and denial prevention. Focus on reviewing patient records, validating MS-DRG and APR DRG assignments, identifying coding errors, and presenting actionable findings to leadership.

Location: Remote within the United States; Chicago – 550 Van Buren listed as the position location. Current permanent United States work authorization and a United States day shift schedule are required.

Pay: $38.46–$52.40 per hour.

Company

hirify.global helps healthcare organizations improve performance, clinical outcomes, operational processes, and consumer experiences.

What you will do

  • Audit inpatient coders and offshore inpatient coding auditors against client procedures and accuracy standards.
  • Perform quality checks, calibration audits, and audits of inpatient hospital accounts.
  • Review health records and clinical documentation to validate diagnosis and procedure codes, MS-DRGs, APR DRGs, POA, SOI, and ROM assignments.
  • Identify coding errors, HACs, PSIs, and documentation issues that may affect quality data, reimbursement, or denials.
  • Provide feedback, coordinate calibration sessions, and support client and internal stakeholder meetings.
  • Analyze audit results and present clear, concise, actionable findings to leadership.

Requirements

  • Current permanent United States work authorization required.
  • Availability for a United States day shift schedule required.
  • At least 2 years of experience as an inpatient coding auditor and 3 years of experience coding inpatient hospital accounts.
  • One of the following certifications required: CCS, CIC, or CDIP.
  • Strong knowledge of clinical documentation guidelines, coding and reimbursement regulations, compliant coder query practices, and revenue cycle processes.
  • Advanced Microsoft Office skills, analytical ability, attention to detail, organization, communication skills, and independent judgment.

Nice to have

  • AHIMA Auditing: Inpatient Coding microcredential or RHIA certification.
  • Experience with 3M/Solventum, Encoder Pro, or Codify encoder software.
  • Experience with Epic, Cerner, or Meditech.
  • Experience working with data from multiple sources and financial analysis.

Culture & Benefits

  • Remote work with video, audio, and instant-message collaboration.
  • Participation in coding team meetings and educational conferences.
  • Support for maintaining continuing education units required by credentialing associations.
  • Medical, dental, and vision coverage and wellness programs.
  • Performance expectations include at least 95% coding audit productivity, DRG accuracy, and coding accuracy, with 100% query compliance.

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